Long-Term Care: Comparative Analysis for Policy Recommendation
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Date
2009-09-21
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract: A comparative analysis study of long-term care system from 10 countries was carried out for policy development and policy planning recommendation forappropriate long-term care services in the Thai context. The result of this study found that the government had difference levels of roles in conceptualizing anddeveloping long-term care provision system depending on social background of each countries. The services included personal care needs and institutional andcommunity care. In addition, there were cash benefits and financial support for family caregivers. The financial systems came from general taxation, third party payers, and out-of-pocket payment and the cost control such as co-payment was often found. For the issue of management, the care receiver was assessed for their dependency level and duration of caring needs. Various financial support models for the family and informal network in each country were found, for example, services provisioning, cash benefit for family, tax relief for co-residential children, benefit of working leave, and basic pension benefit. The recommendation for developing long-term care in Thailand was that the system development must be appropriate for cultural and value of Thai context. The services should be emphasized on family’s role in caring, while the government provides support, education, supervision, and monitoring on quality control. In addition, there should be a safety net available for the family that is unable to provide this kind of care.
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Ramathibodi Nursing Journal; Vol. 14 No. 3, September - December 2008